Actually, his facial deficiencies were not serious. His nose was of the "classical Roman" type, and his ears, though somewhat large, attracted no more attention than those of thousands of people with similar ears. In desperation, his family brought him to me to see if I could help him. I saw that he did not need surgery . . . only an understanding of the fact that his imagination had wrought such havoc with his self-image that he had lost sight of the truth. He was not really ugly. People did not consider him odd and laugh at him because of his appearance. His imagination alone was responsible for his misery. His imagination had set up an automatic, negative, failure mechanism within him and it was operating full blast, to his extreme misfortune. Fortunately, after several sessions with him, and with the help of his family, he was able gradually to realize that the power of his own imagination was responsible for his plight, and he succeeded in build­ing up a true self-image and achieving the confidence he needed by applying creative imagination rather than de­structive imagination.